UNITED STATES BANKRUPTCY COURT Southern District of Florida www.flsb.uscourts.gov In re: Case No. Chapter / Debtor Adversary Proceeding No. Plaintiff vs. ALL DOCUMENTS REGARDING THIS MATTER MUST BE IDENTIFIED BY BOTH ADV. & BANKRUPTCY CASE NUMBERS. Defendant and Third Party Plaintiff Third Party Defendant / THIRD-PARTY SUMMONS AND NOTICE OF PRETRIAL/TRIAL IN AN ADVERSARY PROCEEDING YOU ARE SUMMONED and required to file a motion or answer to the third-party complaint which is attached to this summons with the clerk of the bankruptcy court at the address indicated below within 25 days (as shortened by Local Rule 7012-1) after the date of issuance of this summons, except that the United States and its offices and agencies shall submit a motion or answer to the complaint within 35 days. G Clerk, 51 S.W. First Ave., #1517 Miami, FL 33130 G Clerk, 299 E. Broward Blvd., #112 Ft. Lauderdale, FL 33301 G Clerk, 1515 North Flagler Drive Room 801 West Palm Beach, FL 33401 At the same time, you must also serve a copy of the motion or answer upon the plaintiff's attorney and upon the defendant and third-party plaintiff’s attorney. Pursuant to BR 7007.1, corporate defendants must file a corporate ownership statement. Name and Address of Plaintiff's Attorney Name and Address of Defendant and Third-Party Plaintiff’s Attorney If you make a motion, your time to answer is governed by Bankruptcy Rule 7012. If you are also being served with a copy of the complaint of the plaintiff, you have the option of not answering the plaintiff’s complaint unless this is an admiralty or maritime action subject to the provisions of Fed. R. Civ. P. 9(h) and 14(c), in which case you are required to file a motion or an answer to both the plaintiff’s complaint and the third-party complaint, and to serve a copy of your motion or answer upon the appropriate parties. Pretrial Conference Information Address: Date: Time: Courtroom Number: Trial Information: A Trial Will Be Held During the One-week Trial Period Indicated Below Address: Trial Week: 9 To be set at pretrial conference Time: Courtroom Number: IF YOU FAIL TO RESPOND TO THIS SUMMONS, YOUR FAILURE WILL BE DEEMED TO BE YOUR CONSENT TO ENTRY OF A JUDGMENT BY THE BANKRUPTCY COURT AND JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF DEMANDED IN THE COMPLAINT. Clerk of Court By: Date LF-74 (rev. 06/02/08) Deputy Clerk Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE I, , certify that I am, and at all times during the (name) service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was by: made. I further certify that the service of this summons and a copy of the complaint was made (date) G Mail service: Regular, first class United States mail, postage fully pre-paid, addressed to: G Personal Service: By leaving the process with defendant or with an officer or agent of defendant at: G Residence Service: By leaving the process with the following adult at: G Publication: The defendant was served as follows: [Describe briefly] G State Law: The defendant was served pursuant to the laws of the State of as follows: [Describe briefly] , (name of state) Under penalty of perjury, I declare that the foregoing to true and correct. Date Signature Print Name Business Address City State Zip (Reverse) LF-74 (rev. 06/02/08) Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com